Registration – KlassiCare

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KlassiCare

Home
About Us
Contact Us
My Profile
Login

Profile Details

Profile Picture^*

Size Restrictions: Please make sure the image size is equal to or larger than 150 by 150 pixels and does not exceeds total size of 2097152 bytes.

First Name^*

Last Name^*

Email^*

Age^*

Date Of Birth (yyyy-mm-dd)^*

Password^*

Confirm Password^*

Nationality^*

Full Address^*

Country^*

Gender^*

Male

Female

Others

Status^*

Mobile #^*

Tell us about yourself^*

Profile Details cont…

WhatsApp #

Facebook Name

Instagram Name

Next of Kin^*

Sexuality^*

Religion^*

Do you Smoke?^*

Yes

No

Do you have Children?^*

Yes

No

Childcare Experience^*

Knowledge of English^*

Are you pregnant?^*

Yes

No

Do you have any special dietary requirements?^*

Do you have any Medical Condition?^*

Do you prefer a Live-in or Live-out position?^*

Live-In

Live-Out

Can you drive?^*

Yes

No

Do you have a valid Drivers licence?^*

Yes

No

Do you have childcare qualifications?^*

Yes

No

Would you consider a position abroad?^*

Yes

No

Not at this time

Have you been to the UK before?^*

Yes

No

Presently in the UK

Can you afford your travel ticket abroad, if needed?^*

Yes

No

Not applicable

Who referred you to the Agency?^*

Do you have mental health issues?^*

Has anyone in your family suffered mental health?^*

Yes

No

Are you Covid vaccinated?^*

Yes

No

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